Evaluation Of Health Expenditures In Terms Of Income Elasticity: A Systematic Review

Yıl 2020, Cilt: 9 Sayı: 1, 63 - 80, 30.06.2020

Jebağı Canberk Aydın , Gülbiye Yenimahalleli Yaşar

Öz

Abstract

Aim: Health expenditures continue to
increase both globally and nationally nowadays. The aim of this systematic
review is to examine the relationship between income and health expenditure,
which is one of the important determinants of health expenditures, on income
elasticity findings of OECD countries. In this context, the health spending
levels of OECD member countries and changes in years have been examined. Then,
the relationship between health expenditures and income elasticity has been
defined. Method: In accordance with
the aim of the study, 16 scientific studies, which have been published between
the dates of 2008-2018 and selected with specific criteria, have been
systematically examined in terms of the relationship between health
expenditures and income. Income elasticity findings in selected scientific
publications have been grouped and made comparable. Results: Although there were observable differences between the
groups, the income elasticity values ​​of health expenditures have been found
to be mostly in the group classified as “necessity” between 0-1 values. Conclusion: This result shows that
expenditures for health services have not yet reached adequate levels although
they have increased over the years. In this respect, health spending is
expected to continue to increase in the coming years.

SAĞLIK HARCAMALARININ GELİR ESNEKLİĞİ AÇISINDAN DEĞERLENDİRİLMESİ: SİSTEMATİK BİR DERLEME

Öz

Özet

Amaç:
Dünya genelinde
de, ülkeler özelinde de sağlık harcamaları artmaya devam etmektedir. Bu
sistematik derleme çalışmasının amacı; sağlık harcamalarının önemli
belirleyicilerinden biri olan gelir ile sağlık harcaması ilişkisini, OECD
ülkeleri açısından gelir esnekliği bulguları üzerinden değerlendirmektir. Bu
çerçevede ilk olarak, OECD üyesi ülkelerin sağlık harcaması düzeyleri ve
yıllara göre gerçekleşen değişimler incelenmiştir. Sonrasında sağlık
harcamaları ve gelir esnekliği ilişkisi tanımlanmıştır. Yöntem: Çalışmanın devamında amaç doğrultusunda 2008-2018 yılları
arasında yayımlanmış olan ve belirli ölçütler ile seçilmiş 16 adet bilimsel
çalışma, sağlık harcamaları ve gelir arasındaki ilişki açısından sistematik bir
şekilde derlenmiş ve yayınlardaki gelir esnekliği bulguları gruplandırılarak
karşılaştırılabilir hale getirilmiştir. Bulgular:
Gruplar arasında gözlemlenebilir farklılıklar olmakla birlikte, sağlık
harcamalarının gelir esnekliği değerlerinin çoğunlukla 0-1 değerleri arasında
ve “ihtiyaç” olarak sınıflandırılan grup içerisinde yer aldığı belirlenmiştir. Sonuç: Bu sonuç, sağlık hizmetleri için
yapılan harcamaların yıllara göre artış göstermesine rağmen hala yeterli
seviyeye ulaşamadığını göstermektedir. Bu açıdan, sağlık harcamalarının önümüzdeki
yıllarda da artmaya devam etmesi beklenmektedir.

Anahtar Kelimeler

sağlık ekonomisi, sağlık harcamaları, gelir esnekliği, OECD ülkeleri

Kaynakça

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